Dr. Rachel Rubin: The Menopause Symptoms Women Are Told to Ignore | Hormones, UTIs & Sexual Health | #182

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Fewer than 5% of the women who need vaginal estrogen are getting a prescription for it. Not because it is expensive, not because it is risky, but because almost nobody was trained to talk about it.

Dr. Rachel Rubin is a board-certified urologist and fellowship-trained sexual medicine specialist. We talked about vaginal estrogen, a micro-dosed cream that saves lives and reaches fewer than 5% of the women who need it. She explains the full hormone toolbox and how to find a doctor actually trained to prescribe it. This is a conversation about shame, about language, and about the fight for a testosterone product approved for women.

What we explore:

- Why vaginal estrogen cuts UTIs by more than half and lowers sepsis and hospitalization risk

- How micro-dosed vaginal hormones rebuild tissue and restore healthy vaginal pH

- Why birth control, postpartum lactation, and PCOS cause the same bladder symptoms

- How bladder infections lead to falls and fractures in older women